RN Uniform System Assessor field travel in the Bronx, Manhattan, Syracuse, Albany or Suffolk

Molina Healthcare; City of Albany (NY); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player seeks a dedicated RN to join their Senior Whole Health team. In this remote role, you will be responsible for conducting comprehensive health assessments and ensuring accurate enrollment documentation for members. This position is ideal for candidates with a strong background in managed care and home health, who thrive in a fast-paced environment. You will have the opportunity to make a significant impact on the lives of chronically ill or disabled individuals while working collaboratively with a supportive team. If you are passionate about healthcare and have the skills to excel in this role, we encourage you to apply.

Qualifications

• Minimum two years clinical experience in managed care.
• Registered Nurse (RN) license required.

Responsibilities

• Complete Community Health Assessments based on state guidelines.
• Conduct home visits and complete enrollment paperwork.

Skills

Organizational Skills

Communication Skills

Technological Proficiency

Time Management

Assessment Skills

Bilingual (Spanish, Chinese, Bengali)

Education

Associates Degree in Nursing

Bachelor's Degree in Nursing

Tools

NY UAS

Health Assessment Tools

Basic Computer Skills

Job description

Job Description

Job Summary

Responsible for the completion of the Community Health Assessment (CHA), formerly the UAS (Uniform Assessment System) Initial Assessments and Reassessments based on New York State requirements, guidelines, and training provided by the company and/or outside resources. This includes enrollment paperwork materials required to appropriately process members’ applications for enrollment, and the CHA Tasking Tool based on guidelines and training provided by the company and/or outside resources. Responsible for corrections and revisions of CHA paperwork and tasking tool documentation based on review and feedback provided through quality and associated review processes.

This position will support our Senior Whole Health business. Senior Whole Health by Molina is a Managed Long-Term Care (MLTC) and Medicaid Advantage (MAP) plan. These plans streamline the delivery of long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for an RN candidate with a Uniform System Assessor (USA) or Home Care background. The candidate must have strong organizational, communication, technological proficiency, and time management skills. This position requires the ability to work in a high-volume environment to serve our members. Bilingual candidates that speak Spanish, Chinese, or Bengali are encouraged to apply.

Work hours are Monday - Friday 8:00 am - 5:00 pm EST.

This is a remote position with required field travel in the Bronx, Manhattan, Syracuse, or Albany, New York. (Your territory will be determined by where you reside).

Knowledge/Skills/Abilities

1. Completes approved New York State Comprehensive Health Initial Assessment Tool and/or Clinical Reassessment used to define eligibility for community-based long-term care services; develops plan of care for members.
2. Completes enrollment paperwork, progress notes, and tasking tool in members’ homes to assist in determining eligibility for services; reviews all data collected for accuracy and completion prior to submission.
3. Charts all contacts and findings within appropriate tools and forms per policy and procedure within deadlines.
4. Attends training and continuing education sessions focused on the proper completion of Comprehensive Health Assessment documentation, enrollment paperwork, and tasking tool.
5. Focuses on continuous improvement and quality excellence in the completion of all material associated with the initial enrollment/continued enrollment of members in the plan.
6. Supports initiatives of the Quality Assessment and Performance Improvement Committee.
7. Trained and knowledgeable in the NY UAS. Ability to understand and apply principles of Care Management and Person-Centered Planning.
8. Solid assessment skills.
9. Ability to understand and apply coverage guidelines and benefit limitations.
10. Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses.
11. Understands and adapts appropriately to issues related to communication, cognitive, or other barriers.
12. Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner.
13. Must be able to travel to multiple boroughs via car or commuting via public transportation.
14. Basic computer skills.

Job Qualifications

Required Education:

1. Associates degree in Nursing.

Required Experience:

1. Minimum two years clinical experience with a focus in managed care, including disease or case management.
2. UAS experience.
3. Experience conducting home visits.

Required Licensure or Certification:

1. Registered Nurse (RN).

State Specific Requirements:

1. Must reside in the state of NY or neighboring states (NJ, CT, parts of PA). Must have a NY state government ID.

Preferred Qualifications:

1. Bachelor’s degree in Nursing.
2. CCM - Certified Case Manager, CCP – Chronic Care Professional.
3. Home Care, Long-Term Care, MLTC experience, including appropriate support services in the community and accessing and using durable medical equipment (DME).
4. Experience in utilization review, concurrent review, and/or risk management a plus.
5. Bilingual or multi-lingual.
6. Health Commerce User Role 40.

Travel Requirements:

Driving: 50%

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

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Pay Range: $24 - $56.17 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level.